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Home My WebLink About14-2461 p 3 Z &0=11 � -•a.t� CITY OF IOWA CITY 410 East Washington Strect �19) 52240-1326 56-SO40s'�''S'�t'.9' FAX Authorization Number (C4— z 1 52 (Office Use Only) E APPLICATION FOR TAXI / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday — Friday.) Failure to complete the "required" information will result in denial of the application 2. Mailing Address (REQUIRED) 3. 13 transportation of passengers: 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or Type of offense Where n When 6. Have you be g�sconvicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years. —6 Type of Offense Where When Have you been convicted of any traffic offenses in the last five years? q"` IT Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? %V Type of offense Where When N 9 Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please prg5id the Aame(4—: DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STAT E_C RTIFIED t DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICECHI1=r- REVIEW 7 br (,eJ You must apply for an individual Department of Criminal Investigation Report (form available upon request). (OVER FOR REQUIRED SIGNATURE AND NOTARY) 0912014 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number ,q 2Z \\ �,' -7 )-4- . I understand that if I falsely answer any questions in this application, that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will be denied. I agree that in making this application, I consent to allow agents or employees of the City of Iowa City, Iowa, in their discretion, to examine any and all records and documents relating to this application, and I further agree that, if a license is granted, to comply at all time j with aiI� f t�ve loovisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) 1\ \` J\ Signature of Applicant__ , `T" l Date f ( 0`4 ac) 1`1 YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. STATE OF IOWA ) COUNTY OF JOHNSON ) n ////_�� Su's abed and worn to before me by /�1�� ryCL ` 7or' n✓L. On this day of /YZ.. D . �C)/u % II k. /i e v %'c /y/6 u= ------ Jotary Public in and for the State of Iowa r;,y I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code). Si e Chief or designee Date YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. Signatu FCity Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8'/:" (width) and 5'/2" (height) and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update Cl.rfirr�iDRivenoceAPPr92014ame�ded.Doc 09/2014 Y GNyov. 3. 2014 8:46AM CDi i of CriminalrIovestilv�,atioo NNo.4341 PP. 1/4 1.STAMM OF IOWA (Crblitind ffistory Ree®Fd Cheek Request Form DCIAcoomitNumber: "ooa (if applicable) Tol Iowa Division of Criminal lnvestigafion Support Operations Bureau, I"Flcor 215 R. 7`a Street Aog Mohler, Iowa 50319 (515) 725-6066 (51-9) 725-6000 Fa>r am requesting an Iowa Last Name (mandalorY) xccora cnecx on; I+it•st Naure (.M From: City of Iowa City City Clerles Office 41Q F, Washington s^ereet Iowa City, IA 52340 )Phone; 3X9-366-5041 Fait 119-356-5497 Middle Nafne -&v'r" Date or Birth (maedatow) I Gender (mandaloi)) _ I Social Security Number (reeeromalded ®14lale M `i Walveylnfoymaflon: Without a signed waiver from the subject of tho request, a complete criminal history record may not he releasable, per Code of fowa, Chapter 692.2. For cqnlelat crlmhud history record informa(lon, as allowed by )aw, always obtain n waiver signature from thesithluct of the reauast. Walver Release: Ihereby givo pcmrhslon forthe abOY6 rcq YnnAS8611(DCI). Aayerimloalhistorydataconcemingamlher Waiver mpalure; m lawn criminal hWoryrccord cluckwi{h the Dlvlslon ofC(iminol ,ay he released as allowcd by law. Iowa Criminal %iistory Record Check Results (�Ckuscenly) As of /� -iyT °-«¢ a search of the provided name and dale of birth revealed:" co I f ® No Iowa Criminal History Record found with I) C1 err' AfIowa Criminal History Record attached, DCT # a /Ia. — J bClinitials J. Received Time -?Oct -31.12014 1:11PM No.3235 Nov, 3, 2014 8:46AM Div of Crlmioal Investi atlon No-4341 P, 2/4 IOWA CRIMINAL HISTORY DCI 00416390 FELONY CONVICTION PAGE 1 OP 2 DATE PRINTED- 2014/11/03 DCI:00416390 NAME: BOBBETTE,ALEXANDRIA COLLINS,ALEXANDRIA BARBARA DOWNS,ALEX DOWNS, ALEXANDRIA BARBARA 170WNS,ALISHA HBBTER,AL$XANDRIA DOB SEX RAC HGT WGT EYE HAIR SKIN POB 19700917 F B 506 219 BRO BLK MED TA ADDITIONAL IDENTIFIERS DISC L LEG SC R FOR CCH RECORD i** 01 ARRESTED 19910207 AGENCY: IA0020200 DAVENPORT PD CHARGE NO- 01 IA STATUTE IA725-1 PROSTITUTION TRK#: L39344601 COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE 1A125-1 PROSTITUTION CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L39344801 SENTENCE DISP EPF DAT _ PLEAD GUILTY 19910417 -_ FINE $350 19910417 COURT COSTS 19910417 SUSPENDED 240b 19910417 C.•e-"� Y G rn 03 ARRESTED 19910423 AGENCY: IA0820200 DAVENPORT PD = '' '_ •+w.*` CHARGE NO- 01 IA STATUTE IA725-1 _ 'V PROSTITUTION -_ TRK#: L39344901 COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 IA STATUTE IA725-1 PROSTITUTION CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L39344901 SENTENCE PLEAD GUILTY FINE $350 COURT COSTS SUSPENDED 240D 03 RECEIVED 19920219 Nov, 3. 2014 8:46AM}iv of Crimioal Iovesti;sflon No.4341 P. 3/4 AGENCY: IAGS2015M OAKDALE IMCC CHARGE NO- 01 IA STATUTE 1A725-1 PROSTITUTION TRK#: L39345001 INMATE #: 1015290 COURT DISPOSITION AGENCY: YA082015J SCOTT CO DIST COURT COUNT NO- 01 TA STATUTE IA725-1 PROSTITUTION CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L39345001 SENTENCE JAIL 2Y CUSTODY AGENCY: IA077015G ADULT PAROLE SVC A 19920603 PAROLED COSTODY AGENCY: IA077015G ADULT PAROLE SVC B 19930118 DISCHARGED FROM CRIMINAL JUSTICE SYSTEM 04 ARRESTED 19941002 AGENCY; IA0820000 SCOTT CO SO CHARGE NO- 01 IA STATUTE TA124-401-1C DELIVERY -COCAINE TRK#: 014329301 COURT DISPOSITION AGENCY: IA082015J SCOTT CO DIST COURT COUNT NO- 01 TA STATUTE IA124-401-IC DELIVERY OF COCAINE CHARGE CLASS: FELONY CONVICTION TRK#: 014329301 SENTENCE FINE $1000 PROBATION 4Y SUSPENDED l0Y DCI 00416390 PAGE 2 OF 2 DISP EFF DAT 19950216 19950216 19950216 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF QUILT, THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION CNov, 3. 2014 8:46AM (Div of CrlmiaaI Investl,ahon NNo,4341 PP. 4/4 V Y\ 1 L V• L V 1' 4 1' Y l W 1 bafoofBirth (mOdele V 1 • N, �l nlii uu• niter so aYl gaalvu 1 f 1 11V•LVLT 1 L/J Oc1124, 2014 12:17PM City Clerk — City of Iowa City Mo. 5353 PI 2 - All STATE GY IOWA r °►Ti, Cirim inal iii ` ► I ' Il t t , a: Check bCT AccountlJilmbel': �� `� (Ifay�llwbl�) To: Yowa blOololl of CrlmhmlYgvettlgallon Promo Cfty of rowel CUE support Opor400lte Bureau, Y(hloov COY Clerf@a office 219 R T6 Htreat 4Y0 P. WaShingtan Street AeaWhim, Tom 50319 g$) 726-6066 p /0 --a ��% 7oWs Cltyj iA 52240 (31� 725 6080 Fax �JyQ PAYI OR' OP honor 9Y9456sodY HIS R OU INP19ai9 9s6sbv7 n x { SE NT )rnxt� I am ronuestlne an Iowa Criminal History Record Chook om ~'a pANablo(nmidaioty) Ant Nome yil16ima � MlddloNama(ra4,tmdre- �:�-•� (>V -- DOJ �I�ka�fdriG Ecu bafoofBirth (mOdele getldelr(mandeloly)�00��1if�'0011�1`1 l�llm�l01' ebhlma,ded) Oq ' 1�v )�NTale FebtaXe � 1' 4',"r�( 4q -J4 WAtvo)Yhtd/%Yt:WfthouGaslguedwu(vorflomthesubjeotoflhompmt,acompletea•tmindhlstatyrcaordmay riot bo releaonb o, por We of Iowa, Chapter 6912. For emn lata crlm(nal hfttory reeerdlnformatlon) m nllowed bylaw) always obto( t vara n re fl•om lhesu6 act of tho re e9t� WpIVeYRelense;lncte6ygglYoyarolMonfotNe4 vereg10 go 0 1 eonductanlowacdminalnI,(aryrawrdo6aok»flhlhobfvblogotC�IMlnol Tnvmugeuon (DG1• anvalminOlflllory da(e uncaallnd diadem ed n(e»eYmaybe Lelraecdss,0o,vcdbylew, Waiver' SiRemayupe; Iowa Criminal_H-Is(Or�lyd Checlf�ltesrrl As of % , aaeerah of the providad Homo end date of bhffii ovegledt •i ® No IowaQlminofFia(oryRecoxdfoundwithDCI Xp'VI/a. Ctlmina[ IlistolyP.ecord eRached, DCI - Received Time—Oct, 31.-2014— I:IIPVJo• 32 �� r ARTS CZ10"WADOT SMARTER I SUA "LFE I CUSf0-1E [ "nCi trd tiV,EC}1itlL�t�Gt:(�Dl+ Inquiry Date: Name: Address: City/State: 10/31/2014 Gordon, Alexandria Barbra 1706 5TH ST CORALVILLE, ]A 522411819 Mailing Address: 1706 5TH ST Mailing City/State: CORALVILLE, ]A 522411819 Convictions Office of Drtvaf Sar✓ieas FO Box S204 % Des N nines. 'A 50306-9- 04 Phone 515-244-x124 [ 800-532-:121 1 Fox 515- 2 KI -1837 w4v iawadaLlea Certified Abstract of Driving Record DL/ID #: 428YY7202(IA) Class: D Audit #: 8417515 Issue Date: 09/04/2014 Expiration 09/17/2017 Date: Endorsements: 3 Restrictions: NONE Date of Birth: 9/17/1970 Sex: F History Information Customer #: 2508141 ID Status: None DL Status: VAL CDL Status: None CDL Cert None Status: ',03/11/2011 CDL Med Status: None Restriction None Supplement: 03/15/2011 •.r• :592 yN. Wf Johnson 4IA 04/11/2011 04/29/2011 Page 1 of 1 tyu Citation Date Conviction Cate >+Ico Explanation County Jig - 01/22/2011 ',03/11/2011 !S15 Speed IL 03/15/2011 104/28/2011 :592 :Speed (10 mph ® under in 35-55 mph zone) Johnson 4IA 04/11/2011 04/29/2011 S92 Speed Johnson IA 09/21/2013 .11/04/2013 :S92 Speed Scott IA Name: Gordon, Alexandria Barbra DL/ID: 428YY7202 Pursuant to Iowa Code §321.10, I, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by the Office of Driver Services, that this is a true and accurate copy of an official record currently in the custody of said office, and that I have been authorized by the Director of the Iowa Department of Transportation to so certify. In witness whereof, I have caused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this date: Name: Gordon, Alexandria Barbra DL/ID: 428YY7202 10/31/2014 COK-0-0 ii Office of Driver Services Iowa Department of Transportation http://172.29.254.55/drivers/reports/customerhistorylcertifieddrivingrecord.aspx 10/31/2014